HomeMy WebLinkAbout1021 Linden Gate Ct - Applications/Basement Finish - 04/05/2017City of
FF6rt Collins
APPLICATION
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
www.fcgov.com/building
WING PERMIT APPLICATION
APPLICATION
Job Site Address 1021 Linden Gate Ct. Unit #
PROPERTY OWNER INFO: (All owner Information Is required— It is not optional) Phone # 970 282-1802
Last name Wasserman First Name Howard Middle
Street Address 1021 Linden Gate Ct. city Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name Custom Home Innovations Contractor Phone # 970 988-5735
Lic Holder Name Greg Sonntag City of Fort Collins License # E-260R Supervisor Cent #
Mailing Address 6008 Blue Spruce Dr. City Bellvue State CO Zip 80512
LEGAL INFO:
subdivision/PUD8136 Lindenmeier Estates Filing # Lot #2 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm1 Sq Ft # of Stories Bldg Height # Dwelling Units
11 Floor Sq Ft 2dd Floor Sq Ft 3r4 Floor Sq Ft Unfiished Bsmt Sq Ft 132
Finished Bsmt Sq Ft §A3 # of Bedrooms 2 # of Full Baths % Baths � '/z Baths # of Fireplaces
Air Conditioning: YeGoE Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑Noo Temp. Pedestal Yes❑ No ❑
Type of Heat: n Gas Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 25,000.00
Description of Work:
Partial basement finish. 630 sgft. 2 bedrooms, 3/4 bath
Contact Name & Phone # of JOBSITE SUPERVISOR: Greg Sonntag 970 988-5735
Subcontractor Info:
Electrical Delaney's Mechanical Big T Heatin
Framer CHI
Solar
Roofing
Other
Concrete
Other
Plumbing Moore Plumbing
Fireplace
Other
Applicant: I hereby acknowledge at I ve read t ap ication and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort oil s rdinan s and Itate laws regulating building construction.
Applicant Signature Print Name Greg Sonntag Phone 970 988-5735
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE